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Living With a Nut Allergy

Allergic reaction to nuts can progress rapidly to anaphylaxis. Peanut allergy is responsible for more deaths than any other type of allergy.

If you suffer from a nut allergy, strictly avoiding nuts, including peanuts and tree nuts like cashews and walnuts, and food containing nuts is the only way to prevent a reaction. But, it is not always easy to avoid these foods since many unsuspecting products contain nuts.

Always check the label ingredients before you use a product. In addition, check the label each time you buy the product. Manufacturers occasionally change recipes, and a trigger food may be added to the new recipe. Also, keep in mind that many prepared foods, including baked goods, candy, and ethnic foods, can be contaminated with peanuts if products containing peanuts are prepared in the same place or by the same manufacturer. Always be prepared for this possibility and the risk of a reaction.

Examples of peanut and tree-nut products and foods that may contain them, include:

Peanut Products Peanut-Containing Ingredients Tree Nuts Tree Nut-Containing Ingredients Nut-Containing Foods
Cold-pressed or expressed peanut oil

Peanut butter

Peanut flour

Hydrolyzed plant protein

Hydrolyzed vegetable protein

Almonds

Brazil nuts

Cashews

Chestnuts

Filberts

Hazelnuts

Hickory nuts

Macadamia nuts

Pecans

Pine nuts

Pistachios

Walnuts

Marzipan / almond paste

Nougat

Artificial nuts

Nut butters (such as cashew butter and almond butter)

Nut oil

Nut paste (such as almond paste)

Nut extracts (such as almond extract)

Ground nuts

Mixed nuts

Chex mix

Artificial nuts

Nougat

African, Chinese, Thai, and other ethnic dishes

Cookies, candy, pastries, and other baked goods

Grain breads

Ice cream, frozen desserts

High-energy bars

Cereals and granola

Salad dressing

Marzipan

Tree nuts are sometimes used in lotions and shampoos. Be sure to check labels of these products, as well as food labels.

People who have peanut allergies should avoid the use of the inhaler Atrovent.


 

WebMD Medical Reference

Reviewed by Jonathan L Gelfand, MD on February 05, 2009
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